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KMID : 0363620200410010107
Journal of Korean Oriental Medicine
2020 Volume.41 No. 1 p.107 ~ p.116
Current Status of N-of-1 Trials for Herbal Medicine -Literature Review
Jeung Chang-Woon

Jeon Sun-Woo
Jo Hee-Geun
Abstract
Objectives: To overcome the limitations of randomized controlled trials, many other trials design is tested. The n-of-1 trial is a promising research method in the field of Korean medicine because of this methodology can examine the optimal treatment for each patient strictly. Therefore, we reviewed the status of N-of-1 studies on herbal medicine.

Methods: A systematic literature review was conducted based on the pubmed database. The search term were ¡®N-of-1 Trial¡¯, ¡®Chinese Medicine¡¯, ¡®Herbal Medicine¡¯, ¡®Kampo¡¯. There was no restriction in year.

Results: Four clinical trials have been identified to demonstrate the effectiveness of herbal medicines for Kidney-yin-deficiency syndrome, bronchiectasis and gastric cancer. These studies suggest that the N-of-1 design is a study that encourages patient involvement, demonstrates the effectiveness of herbal medicines and helps reduce unnecessary medication.

Conclusion: The N-of-1 clinical trial may be a rigorous methodology suitable for the clinical setting and may help the development of evidence-based Korean medicine. Attention is also needed in this research method in Korea.
KEYWORD
N-of-1, Single Case Studies, Clinical Trial, Herbal Medicine, Korean medicine
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